Individual
ANNA OKULIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1011 W 5TH ST STE 120, AUSTIN, TX 78703
(737) 990-4135
Mailing address
1011 W 5TH ST STE 120, AUSTIN, TX 78703-5363
(737) 990-4135
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
102545
CA
122300000X
Dentist
Primary
35092
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/24/2017
Last updated
08/11/2019
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